Organization Active NPI

Carex Pharmacy Inc

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1306393202
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
035022 Issued in NY
Legal business name
CAREX PHARMACY INC
Practice address
742 Lydig Ave
Bronx, NY 10462-2104
Phone
(718) 678-8700
Fax
(718) 678-8777
NPI assigned
Sep 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Usman A Rana
Title
President
Phone
(718) 678-8700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 035022 NY Primary

Addresses

Primary practice location

742 Lydig Ave
Bronx, NY 10462-2104

Mailing address

742 Lydig Ave
Bronx, NY 10462-2104
Phone (718) 678-8700

Other identifiers 2

IdentifierTypeStateIssuer
2167013OtherPK
4623832MedicaidNY

Other names 1

  • Lydig Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170728002775 NY DME Supplier - Pharmacy 5496026106 Practice locations: Bronx, NY
O20241204002802 NY Part B Supplier - Pharmacy 5496026106 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory
Tax ID family
Carex Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

742 Lydig Ave
Bronx, NY 10462
Phone (718) 678-8700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1306393202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 LYDIG AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104622104",
            "telephone_number": "718-678-8700",
            "fax_number": "718-678-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 LYDIG AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104622104",
            "telephone_number": "718-678-8700",
            "fax_number": "718-678-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREX PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "RANA",
        "authorized_official_first_name": "USMAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-678-8700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "035022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2167013",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4623832",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lydig Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.